NPI 1083811368

Sara Rose Lopez, LMBT

Practitioner Massage Therapist Jacksonville, NC

Practice location

Address: 215 Western Blvd STE 300, Jacksonville, NC 28546-5730
Phone: (910) 989-0002
Fax: (910) 375-5381
Mailing address: 101 Circle Dr, Jacksonville, NC 28540-4811

Registered specialties

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence 6491 (NC)

Other Massage Therapist providers in North Carolina →

Registry record

NPI: 1083811368
Entity type: Individual
Sex (as registered): Female
NPI issued: 29 Jun 2007
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.